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NR 442 Community Health Nursing
Exam 2 Study Set| Well Revised Q&A
2026
Home Health Nursing - correct-answer - - "a specialized area of nursing practice,
rooted in community health nursing, that delivers care in the residence of the
client"
Purpose of Home Health Nursing - correct-answer - - Provide nursing care to
individuals and families in their home
- Referrals: Physician, NP, hospital discharge planner, school teacher, clinical
health care provider, or patient/patient family
Home Health - Balanced Budget Act of 1997 - correct-answer - - Significantly
changed the way Medicare pays for home health services
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- No longer reimbursed using retrospective payment system for services rendered
- Now prospective payment system (PPS)
- HHS receive a fixed amount of money based on cost of client's given diagnosis
Types of Home Health Agencies - correct-answer - - Official (i.e., public)
- Nonprofit
- Proprietary/private corporate company
- Hospital-based agencies
Reimbursement for Home Care - correct-answer - - Medicare benefits under Title
XVIII of the Social Security Act
- Individual over 65
- Homebound and under the care of a physician
- Requires medically necessary skilled nursing care or therapy services
- Exceptions for Medicare Hospice Benefit
- Medicaid benefits under Title XIX if eligible
- Private health insurance
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OASIS - correct-answer - - The Outcome and Assessment Information
Set (OASIS) is a data set determines
Medicare pay rate and measures outcomes
of adult home care patients to monitor
outcome-based quality improvement -CMS,
2008
• Includes sociodemographic,
environmental, support system, health
status, and functional status attributes
of an adult patient.
• Is mandatory for all Medicare and
Medicaid patients receiving skilled care.
Nursing Standards for Home Health - correct-answer - - Baccalaureate-level
education required
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because of the autonomy and critical
thinking skills necessary in home care
• Care based on ANA standards and QSEN
competencies
• Patient centered care
• Teamwork and collaboration
• Evidence-based practice
• Quality improvement
• Safety
• Informatics
Conducting a Home Health Visit - correct-answer - - Visit preparation:
- Review the referral form
- Contact client and establish a trust
relationship
NR 442 Community Health Nursing
Exam 2 Study Set| Well Revised Q&A
2026
Home Health Nursing - correct-answer - - "a specialized area of nursing practice,
rooted in community health nursing, that delivers care in the residence of the
client"
Purpose of Home Health Nursing - correct-answer - - Provide nursing care to
individuals and families in their home
- Referrals: Physician, NP, hospital discharge planner, school teacher, clinical
health care provider, or patient/patient family
Home Health - Balanced Budget Act of 1997 - correct-answer - - Significantly
changed the way Medicare pays for home health services
,2|Page
- No longer reimbursed using retrospective payment system for services rendered
- Now prospective payment system (PPS)
- HHS receive a fixed amount of money based on cost of client's given diagnosis
Types of Home Health Agencies - correct-answer - - Official (i.e., public)
- Nonprofit
- Proprietary/private corporate company
- Hospital-based agencies
Reimbursement for Home Care - correct-answer - - Medicare benefits under Title
XVIII of the Social Security Act
- Individual over 65
- Homebound and under the care of a physician
- Requires medically necessary skilled nursing care or therapy services
- Exceptions for Medicare Hospice Benefit
- Medicaid benefits under Title XIX if eligible
- Private health insurance
,3|Page
OASIS - correct-answer - - The Outcome and Assessment Information
Set (OASIS) is a data set determines
Medicare pay rate and measures outcomes
of adult home care patients to monitor
outcome-based quality improvement -CMS,
2008
• Includes sociodemographic,
environmental, support system, health
status, and functional status attributes
of an adult patient.
• Is mandatory for all Medicare and
Medicaid patients receiving skilled care.
Nursing Standards for Home Health - correct-answer - - Baccalaureate-level
education required
, 4|Page
because of the autonomy and critical
thinking skills necessary in home care
• Care based on ANA standards and QSEN
competencies
• Patient centered care
• Teamwork and collaboration
• Evidence-based practice
• Quality improvement
• Safety
• Informatics
Conducting a Home Health Visit - correct-answer - - Visit preparation:
- Review the referral form
- Contact client and establish a trust
relationship
